institution
Elkhart Clinic, Llc
Multi-Specialty Clinic/Center in Plymouth, Indiana
NPI 1821329723

Elkhart Clinic, Llc is a Multi-Specialty Clinic/Center based in Elkhart, IN and is specialized in Multi-Specialty. Elkhart Clinic, Llc practices in Plymouth, IN. The NPI Number for Elkhart Clinic, Llc is 1821329723 and holds a License No. (Indiana).

The current practice location address for Elkhart Clinic, Llc is 1904 Lake Ave, Plymouth, IN and can be reached out via phone at 574-296-3200 and via fax at 574-296-3392.

Location: 1904 Lake Ave, Plymouth, IN, 46515-2968
institution
Provider Profile Details
NPI Number
1821329723
Provider Name
Elkhart Clinic, Llc
Credential
Provider Entity Type
Organization
Address
1904 Lake Ave, Plymouth, IN, 46515-2968
Phone Number
574-296-3200
Fax Number
574-296-3392
Provider Enumeration Date
01/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0359310001 01 IN DMERC
CJ0814 01 IN RR MEDICARE
100466600F 05 IN
institution
Provider Business Practice Location Address Details
Address
1904 Lake Ave
City
State
Zip
46563-7828
Phone Number
574-296-3200
Fax Number
574-296-3392
person
Provider Business Mailing Address Details
Address
1904 Lake Ave
City
State
Zip
46563-7828
Phone Number
574-296-3200
Fax Number
574-296-3392
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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